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1598114423
MICHAEL TODD WARREN
DERIDDER, LA
NPI
1598114423
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA Ap08799)
Enumeration Date
2016-06-10
Last Update Date
2016-06-10
Business Address
-- MICHAEL TODD WARREN FNP
427 N PINE ST
DERIDDER, LA 70634-3905
Phone number: 337-348-1558
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Mailing Address
-- MICHAEL TODD WARREN FNP
512 MEADOW LN
DERIDDER, LA 70634-5312
Phone number: 337-348-1558
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